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Part II: All About the G-Spot

Dr. Steve McGough answers some pertinent questions about the ever-elusive female G-spot in this two-part series.

There’s always a certain amount of mystery when it comes to sex and sexual acts. From likes and dislikes to fantasies and fetishes, there’s always something new to discover with your partner. However, it seems one of the most elusive and talked about “mystery” out there, is the female G-spot. To clear up some of the mystery, Dr. Steve McGough answers some pertinent questions about the ever-elusive female G-spot in this two-part series.

What do you think about the idea that the G-spot and the G-spot orgasm is a myth?

I think it is completely false. The G-spot clearly exists and G-spot orgasm is very real. With the exception of women who have had structural modification from surgery, cancer damage or related injury, etc., every woman has these areas. These are just locations. To expand that question with "will stimulation of these areas give women orgasm" it depends on the woman and her body. Ultimately, these areas correlate to the nerves that send sensations to the brain (or that induce spinal reflexes). These areas feel stimulation via the hypogastric nerve and the Vagus Nerve (the vagus nerve does not connect to the clitoris). The clitoris feels stimulation mainly from the pudendal nerve and possibly from the pelvic nerve. Another key issue that I study is what type of stimulation is needed. There are four different ways (i.e., somatic sensory receptors) the nerves feel this stimulation that relates to different types of stimulation (same for the clitoris). It appears most vibrators only affect two of these ways and manual stimulation is only felt by another means.

So, how do you achieve a G-spot orgasm?

To achieve orgasm from the A-, O- or G-spot, women need both the right type of stimulation (being both at the right location and the right speed and range of movement) and they need to be mentally prepared to feel it. What I mean by this is many people have a very specific way they achieve orgasm (and this is what their mind is expecting). Worrying if it will happen or not and thinking about it too much can block the relaxation needed to get in the mental state to achieve orgasm. Many women’s (and their partner’s) fingers and hands tire out before they achieve G-spot orgasm and they’ll later say that the G-spot orgasm isn't real. In reality, they simply didn't provide stimulation long enough. Regarding "proof" that the G-spot (or at least the area for stimulation in the vagina) and the "G-spot orgasm" being real, Dr. Komisaruk & Whipple were able to show (via fMRI) that women who were paralyzed from the chest down (i.e., complete nerve cut and no feeling at all) were able to achieve orgasm via deep vaginal stimulation. They also did tests to show that this orgasm was coming from the Vagus nerve, which isn't part of the spine. This nerve is also the reason nipple stimulation is erotic and in some cases helps women achieve orgasm. The clitoris connects via the pudendal, and a lesser degree the pelvic nerves. These nerves do not work in cases of complete spinal cord cut, and women have no sense of feeling in their clitoris in this case.

What are some ways women can stimulate their G-spot (with or without a partner)?

Alone, a woman can reach inside her vagina with one or two fingers to manually stimulate her G-spot. There are many "C" or "U" shaped toys that are very good at G-spot stimulation once the woman knows how to use them. Using a toy like this is often better because it typically takes 10-20 minutes of stimulation to achieve orgasm, and this is much less tiring than if the woman used her fingers. Women's partners can stimulate the G-spot manually with one or two fingers with either her lying on her back, on her stomach or sitting up on her knees. It's best to experiment with all three (or more) positions. This is both for the woman to learn the best position for her, and to make the position comfortable for her partner. Many partner’s hands will tire out too soon, so it is good for them to alternate different ways of rubbing the G-spot (or A-Spot or O-Spot) area. One technique is the "come here" motion done with the finger about four times per second. When this technique tires the hand and forearm, keep the finger slightly bent and stiff, and then mimic that motion by pulling via the arm. There are many ways to learn how to provide continual vigorous stimulation for the 10-20 minutes needed. For sexual penetration from a partner (intercourse or via a phallic toy) the best motions either involve positions where the penis/toy press into the G-spot area either by thrusting or by an "up and down" motion. For thrusting, this is usually best accomplished from behind. For the "up and down" motion this is accomplished with the woman sitting on top, straddling the partner or with the partner standing by the side of the bed with the woman laying at the edge with her legs up around the partner's shoulders. The key is to have a rocking motion of her pelvic area causing the penis/toy to move up and down. For many men, they have to practice either how to delay ejaculation or use a condom with a numbing agent to allow them to be able to maintain vigorous thrusting/rocking motion for approximately 20 minutes. The best advice I can give is to approach it as a massage to feel the experience (don't think -- just feel) without orgasm being the goal. The goal is just to feel it. Different women have different degrees of development for the neural pathways to these areas. Over time and with practice, this will increase. The best analogy I can give is if women are used to achieving orgasm from specific clitoral stimulation -- that's a superhighway to their brain. The other spots are unmarked trails back to the brain (i.e., the nerves aren't developed and they don't know what to expect to feel, and if it feels different they start thinking/worrying and that interferes). With all the above types of stimulation, it is often very pleasant for the woman or her partner to press or rub on her lower abdomen just above her pubic bone. This pressure pushes down causing the upward pressure on the G-spot area to be more intense. It is also possible using a hi® unit or in rare cases using vigorous massage in the area just above the pubic bone to induce a feeling similar to a G-spot orgasm, but this varies highly from woman to woman. Another benefit of G-Spot (or A/O-spot) orgasms is many women can have multiple orgasms in succession vaginally with very short or no refractory periods in between. Clitoral orgasms typically have a minute to several minutes of rest where the woman has to stop.